Active NPI
Lauren Berry, PT, DPT
- Pediatric Physical Therapist
- Gulf Shores, AL
National Provider Identifier
1972277853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PTH10454
- Practice address
- 901 Commerce Dr Ste 1a
Gulf Shores, AL 36542-2834 - Phone
- (251) 200-4750
- Fax
- (251) 200-4752
- NPI assigned
- Aug 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PTH10454 | AL | Primary |
Addresses
Primary practice location
901 Commerce Dr Ste 1a
Gulf Shores, AL 36542-2834
Mailing address
901 Commerce Dr Ste 1a
Gulf Shores, AL 36542-2834
Phone (251) 200-4750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH10454 | AL | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1972277853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 COMMERCE DR STE 1A",
"city": "GULF SHORES",
"state": "AL",
"postal_code": "365422834",
"telephone_number": "251-200-4750",
"fax_number": "251-200-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 COMMERCE DR STE 1A",
"city": "GULF SHORES",
"state": "AL",
"postal_code": "365422834",
"telephone_number": "251-200-4750",
"fax_number": "251-200-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "LAUREN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AL",
"license": "PTH10454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Shores, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.